[INSERT YOUR NAME AND ADDRESS] June __, 2009 Ms. Randi Weingarten United Federation of Teachers 52 Broadway New York, New York 10004 Dear Ms. Weingarten, I object to the expenditure of the amount of my agency fee which represents my pro rata share of expenses by the United Federation of Teachers or its affiliates that are not related to representational activities, such as collective bargaining, contract administration and grievance adjustment for the 2009-2010 fiscal year. Please refund to me the full amount required under the Supreme Court’s decision in Communications Workers of America v. Beck (1487 U.S. 735) and related cases. Thank you for your assistance. Very truly yours, [INSERT YOUR NAME, SS#]